ATI LPN
ATI Targeted Medical Surgical Endocrine Questions
Question 1 of 5
The nurse reviews a patient's lab results, noting a blood glucose level of 895 mg/dl. The patient is most likely experiencing which acid-base imbalance?
Correct Answer: A
Rationale: The patient is at risk for diabetic ketoacidosis, a form of metabolic acidosis. Elevated glucose from insufficient insulin leads to fat metabolism, producing ketones, an acidotic substance.
Question 2 of 5
The nurse is providing care to a client who has hypoparathyroidism and has developed a positive Trousseau's sign and reports tingling of the hands and lips. Which of the following actions should the nurse be prepared to take?
Correct Answer: A
Rationale: Trousseau's sign and tingling indicate severe hypocalcemia, risking seizures; precautions are priority.
Question 3 of 5
How does the drug desmopressin (DDAVP) decrease urine output in a client with diabetes insipidus (DI)?
Correct Answer: D
Rationale: Desmopressin mimics ADH, increasing water reabsorption in kidneys, reducing urine output.
Question 4 of 5
What effect can starting a dose of levothyroxine too high or increasing a dose too rapidly have on a client?
Correct Answer: D
Rationale: Excess levothyroxine mimics hyperthyroidism, risking hypertension and heart failure.
Question 5 of 5
Which patient is MOST likely to develop Diabetic Ketoacidosis?
Correct Answer: B
Rationale: Type 1 DM patient missing insulin during illness is at highest DKA risk due to absolute insulin deficiency.